| NPI | 1750780383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22740) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0009439) |
| 183500000X Pharmacist (Licence: VA 0202213325) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2023-11-27 |